{
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"FirstLineMailingAddress": "347 HUFFER RD",
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"MailingAddressCountryCode": "US",
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"FirstLinePracticeLocationAddress": "2300 W RIDGE RD STE 100",
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"PracticeLocationAddressCityName": "ROCHESTER",
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"EnumerationDate": "01/05/2026",
"LastUpdateDate": "01/05/2026",
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
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"AuthorizedOfficialLastName": "BEATTY",
"AuthorizedOfficialFirstName": "DANIELLE",
"AuthorizedOfficialMiddleName": "MARIE",
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"AuthorizedOfficialCredential": "DPT",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Physical Therapist",
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"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}